Building on the success of the past 2 years, this role, based in Kensington & Chelsea, is to support mental health teams in the community and inpatient settings to continue in their promotion and delivery of annual physical health checks for patients of the service. The role works flexibly within teams, to promote the physical health agenda, (measured by completion of annual health checks) and to support team colleagues in completing the assessments.

We would welcome applications from all Registered Nursing staff.

Vaccination

The successful applicant may have contact with patients or service users and we will therefore be seeking proof of vaccination or medical exemption during the recruitment process. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Main duties of the job

You will work within and alongside clinical staff in community and inpatient settings to support them in prioritising physical health, using mixed approaches including teaching sessions, direct hands-on assessment, role modelling and problem solving in ensuring that patients of the services have physical health assessments.

You will work within 1 Borough, but be part of a team of practitioners (1 in each borough of the Division) and be managed by a cross Divisional manager.

You will need to be able to work closely and within multiple teams and be effective at understanding local challenges and working with colleagues to resolve these. You will be a go-to person for physical health and will need to develop excellent relationships with teams and colleagues.

Huge success has happened over the past 2 years on carrying out annual health checks and this role is an opportunity to support teams to embed a sustainable approach to this.

We would consider secondments to this role.

About us

Jameson Division operates mental health services across Harrow, Brent, Kensington & Chelsea and Westminster, as well as learning disability services (inpatient and community) and a growing perinatal service, in community teams and a Mother and Baby Unit.

The areas covered are diverse, both in the populations and the environments covered, ranging from suburban areas in Harrow, to the inner city and West End of Brent, Kensington & Chelsea and Westminster.

The Trust is committed to embedding SCARF (Supportive, Caring, Accountable, Reflective and Fair) principles in the work we do, developing and delivering considerate support for staff based on human factors principles. The Trust has a number of active staff networks, including BAME, over 50s, LGBT+, womens' and others and these are actively promoted.

If you would like to know more about the Trust please do get in touch.

Job description Job responsibilities

This role is for a capable practitioner to utilise their specialist skills and knowledge in physical health and work within identified teams to ensuring that effective physical health assessment and interventions are embedded in the regular practice of the team.

The practitioner will engage and support the teams, ensuring that Team clients/patients receive annual physical health checks and that appropriate action is taken to address identified areas of concern, for example weight, substance misuse, cholesterol levels etc. The post holder will provide training and support to local multi-disciplinary practitioners to improve their understanding and skills to address their patients physical health.

The postholder will work across the Adult Mental Health (inpatient and community) and local Learning Disability services, combining pre-existing physical health and mental health skills, to promote the physical health and wellbeing of our patients, measured via the Annual Health Check and interventions.

Practice

• To lead on the completion of an annual health check within the identified service using the CNWL Physical Health Assessment tool and relevant physical health assessments for an identified patient group in a service, initially focussed on people with serious mental illness.
• To ensure that patients receive or access appropriate interventions to address the domains of assessment outcomes, where indicated; e.g. smoking cessation, either by direct delivery or signposting and support
• Where locally required, to carry out the annual physical health assessment of individual clients (in collaboration with the responsible person in the care setting)
• To ensure that local services, e.g. inpatient or community teams are provided with relevant training and support regarding physical health assessments and interventions, tailored to service need.
• To support local managers and clinical staff in developing a culture of awareness and intervention regarding annual health checks and relevant interventions for patients of theservice.

Teaching and education

• To identify the educational, support and training requirements of the local service regarding the physical health of their patient group, the annual health check and relevant interventions and to work on addressing these with that team/service.
• To train, educate and support locality and inpatient teams in undertaking physical health assessments and understanding the results of these.
• To train, educate and support locality and inpatient teams on the relevant interventions to address results of the annual physical health assessments and how to deliver these or signpost/support patients to access relevant support/interventions, e.g. smoking cessation,alcohol or weight management support.
• To support and work with students of different disciplines, promoting a learning environment

Reporting

• To benchmark the current situation in the Team of the required SMI Annual Health Check, understand the reasons behind this and with local managers develop a strategy to improve performance against this.
• To ensure that physical health assessment information is recorded on the single Annual Health Check System 1 template
• To present the achievement and improvement of performance indicators related to clients physical health, and be able to provide narrative on this to interested stakeholders, e.g. local Physical Health meetings, performance meetings etc, including suggestions on how the performance indicators can improve.
• To present explanation on shortfalls in performance for individual areas, and collaborative proposals for addressing these
• To ensure all service specific data is submitted in a timely manner.
• To ensure that key performance indicators are met and relevant action taken if not.
• To provide regular feedback to team members on progress.

Service improvement/development and sustainability

• To engage with and develop collaborative and supportive working relationships with multi-professional members of local services, across inpatient and community settings
• Establish strong working relationships with other specialist services and signpost service users as required.
• To identify and liaise with community voluntary and service user groups to assist in the processof promoting physical health of patients.
• To be accountable for supporting the development and delivery of the Teams physical health initiative.
• To support and oversee the process of implementing physical health interventions
• To participate and develop relevant local QI, clinical audits and research, to inform service delivery and development.
• To contribute to ongoing service development including developing and refining of access criteria, clinical protocols and clinical pathways relevant to the physical health monitoring.
• To act as Physical Health Lead for the identified service areas and attend relevant internal and external meetings as required.

Leading and supporting will be a critical function of the role.

• To act as a resource to colleagues in improving/promoting the physical health of patients.
• To work closely with Team Leaders/local managers to ensure designated staff members areappropriately skilled to deliver the service.
• To work flexibly to meet the needs of the service.
• To demonstrate leadership skills in influencing and implementing the delivery of physical healthcare within the team.
• To work within agreed clinical protocols and all organisational policies and procedures.
• To work in partnership with the Team, review existing or develop new clinical guidelines andprotocols as required by the service.
• To support and work with students of different disciplines, promoting a learning environment
• To ensure information sharing processes between partner services and agencies is within thelegislative framework.
• To support the collection of ongoing patient and carers surveys.
• To act without delay if you believe that you or a colleague may be putting someone at risk.

Resources

• To ensure the correct resources are available within the team and inform local manager ofissues relating to equipment.
• To ensure IPC is followed in practice to maintain standards and to provide an excellent rolemodel for colleagues and patients
• To ensure good practice of medical device management and competencies are achieved asrequired and consistent with Trust policy.

Person Specification Knowledge Requirements and Experience Essential

• Good working knowledge of physical health assessment and management strategies and interventions.
• Good working knowledge of NHS guidance on annual health checks for people with serious mental illness
• Experience of carrying out annual physical health checks for patients with SMI
• Good working knowledge and experience of interventions related to the domains of the annual physical health check
• Good level of clinical knowledge and skill including knowledge of recent national, regional and local health strategies in relation to physical health in mental health settings
• Understanding of team working and experience working in multidisciplinary teams in inpatient and community settings
• Experience of delivering evidence-based practice.
• Ability to cope under pressure and problem solve when managing complex situations and competing priorities
• Ability to reflect and critically appraise own performance.
• Experience of working independently and setting own priorities in line with team vision
• Ability and experience of engaging with colleagues in supporting the delivery of the physical health agenda in mental health settings
• Able to use Trust clinical and other IT systems
• Knowledge and ability to use a range of IT programs including Microsoft excel and office.
• Ability to contribute to the identification of individual / team / service training and development needs

Desirable

• Ability to analyse professional and ethical issues
• Good negotiation skills and able to use initiative

Qualifications - Academic/Skills/Professional Essential

• Registered Nurse educated to degree level or equivalent.
• Level 1 accredited stop smoking advisor
• Have undertaken training in motivational intervewing

Desirable

• Phlebotomy qualification.
• Health promotion qualification
• Level 2 accredited stop smoking advisor
• Practice assessor/supervisor qualification.
• Qualification in Motivational Interviewing
• PSI qualification.
• Non-medical Prescribing qualification.

Further Training or Job Related Aptitude and Skills Essential

• Experience of teaching others/delivering training

Personal Qualities Essential

• The ability to develop and sustain collaborative relationships with partner organisations as well as with patients and health care professionals.
• Ability to motivate others E
  
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